Individual
MRS. LISA PASSARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PANTOPS MOUNTAIN RD, CHARLOTTESVILLE, VA 22911-8686
(434) 972-3195
Mailing address
1503 STILL MEADOW CV, CHARLOTTESVILLE, VA 22901-6202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002715
VA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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